A mosaic chromosome complement, 36.XY/47.XY.+r(15), was detected at pr
enatal diagnosis, Family studies showed the mother and one of her two
children to have a bisatellited supernumerary marker chromosome (SMC)
in all lymphocytes examined. The maternal grandfather also shove-ed a
bisatellited SMC, but in only 2 per cent of his lymphocytes. NOR, DA/D
API, and chromosome 15 centromere and short arm-specific probes confir
med the identify of the bisatellited SMC and of ring SMC as derived fr
om chromosome 15. An apparently normal male was born at full term. At
age 1 year, the baby continues to have normal growth and development.
The bisatellited 15 likely originated by somatic mutation in the grand
father (2 per cent cells), was transmitted unchanged to the daughter a
nd grandson (germline transmission, no mosaicism), and then evolved by
excising the satellites and forming a ring SMC in the index case. Pro
gressive changes in the frequency and subsequent changes in the struct
ure of this SMC illustrate the unusual characteristics of chromosome 1
5. (C) 1998 John Wiley & Sons. Ltd.